2026 ICD-10-CM Diagnosis Code H04.89Other disorders of lacrimal system

ICD-10-CM Codes›H00–H59›H00-H05›H04

ICD-10-CM H04.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H04.89 is a billable ICD-10-CM diagnosis code for other disorders of lacrimal system. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Oculofacial plastics and orbital conditions.

Code Identity

ICD-10-CM Code
H04.89
Billable Status
Yes — Valid for Submission
Code Describes
Other disorders of lacrimal system
Short Description
Other disorders of lacrimal system
Same as the full description in the CMS dataset.
Parent Code
H04.8
Other disorders of lacrimal system

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH00-H05Disorders of eyelid, lacrimal system and orbit
CategoryH04Disorders of lacrimal system
This CodeH04.89Other disorders of lacrimal system

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal innervation syndrome
  • Apposition of lower lacrimal punctum - finding
  • Breakage of prosthesis
  • Chromodacryorrhea
  • Crocodile tears syndrome
  • Cyst of lacrimal passages
  • Defective tear drainage
  • Discharge from lacrimal sac
  • Divided lacrimal canaliculus
  • Enlargement of lacrimal gland
  • Enlargement of right lacrimal gland
  • Finding of lacrimation
  • Fluorescein tear drainage - finding
  • Fluorescein tear drainage impaired
  • Injury of lacrimal passage
  • Lacrimal drainage - not patent
  • Lacrimal drainage - patent only on punctal occlusion
  • Lacrimal drainage - reduced patency
  • Lacrimal patency - finding
  • Lacrimal regurgitation
  • Lacrimal sac access - finding
  • Lacrimal sac not entered
  • Lacrimal sac swollen
  • Lower lacrimal punctum finding
  • Mucoid lacrimal regurgitation
  • Mucopurulent lacrimal regurgitation
  • Obstruction of lacrimal drainage system
  • Opening of lower lacrimal punctum - finding
  • Opening of lower lacrimal punctum absent
  • Opening of lower lacrimal punctum closed
  • Opening of lower lacrimal punctum enlarged
  • Opening of upper lacrimal punctum - finding
  • Opening of upper lacrimal punctum absent
  • Opening of upper lacrimal punctum closed
  • Opening of upper lacrimal punctum enlarged
  • Pooling of tears
  • Poor apposition of lower lacrimal punctum
  • Red tears
  • Slit lacrimal canaliculus following intubation
  • Stenosis and insufficiency of lacrimal passages
  • Stenosis of lacrimal system
  • Swollen lacrimal sac - cystic
  • Tear drainage - finding
  • Tear drainage disorder
  • Upper lacrimal punctum finding
  • Watery lacrimal regurgitation

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • lacrimal system
        • specified NEC

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE008
Oculofacial plastics and orbital conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Tears

You may only think of tears as those salty drops that fall from your eyes when you cry. Actually, your tears clean your eyes every time you blink. Tears also keep your eyes moist, which is important for your vision.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H04.89 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
375.89 Lacrimal syst dis NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H04.89Overview

Is H04.89 (Other disorders of lacrimal system) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other disorders of lacrimal system on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H04.89 group to?

When other disorders of lacrimal system is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H04.89?

Under the General Equivalence Mappings, other disorders of lacrimal system converts to ICD-9-CM 375.89 (lacrimal syst dis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.